白芍治疗神经病理性疼痛抑郁共病药理机制研究OA
Research on Pharmacological Mechanism of Baishao(Paeoniae Radix Alba)in the Treatment of Neuropathic Pain and Depression
神经病理性疼痛(neuropathic pain,NP)和抑郁障碍(major depressive disorder,MDD)均是临床上高发病率的疾病,两者常伴随发病形成共病,严重影响患者的身心健康,但现有治疗对部分患者缺乏有效性且具有不良反应.中医药治疗疼痛和抑郁历史久远且效果良好.中医将NP归为"痛证",将MDD归为"郁证",认为两者发病均与气血运行不畅密切相关.传统中药白芍具有养血调经、柔肝止痛等多种功效,通过调气利血、疏肝解郁等方法在痛证与郁证治疗中广泛应用.现代药理学研究进一步揭示了白芍可以通过抗炎、抗氧化应激、神经修复和神经递质调节等多元机制有效治疗神经病理性疼痛抑郁共病.该文系统回顾了近年来白芍治疗神经病理性疼痛和抑郁的相关文献及研究,深入探讨了白芍及其有效成分通过多靶点、多通路干预神经病理性疼痛抑郁共病的可行性,旨在为中医药治疗神经病理性疼痛抑郁共病提供科学理论依据与实践参考.
Neuropathic pain(NP)and major depressive disorder(MDD)are both clinically high morbidity diseases,which are often accompanied by the formation of common diseases,which seriously affect the physical and mental health of patients,but the existing treatments are ineffective and have adverse reactions to some patients.Traditional Chinese medicine has a long history and good effect in the treatment of pain and depression.In traditional Chinese medicine,NP is classified as"pain syndrome"and MDD as"depression syndrome".It is considered that both of them are closely related to the poor operation of Qi and blood.Traditional Chinese medicine Baishao(Paeoniae Radix Alba)has many effects such as nourishing blood and regulating menstruation,softening liver and relieving pain.It can be widely used in the treatment of pain and depression by regulating Qi and promoting blood circulation,soothing liver and relieving depression and other methods.Modern pharmacological studies have further revealed that Baishao(Paeoniae Radix Alba)can effectively treat neuropathic pain and depression through multiple mechanisms such as anti-inflammation,antioxidant stress,nerve repair and neurotransmitter regulation.This paper systematically reviews the relevant literature and research on the treatment of neuropathic pain and depression with Baishao(Paeoniae Radix Alba)in recent years,and deeply discusses the feasibility of Baishao(Paeoniae Radix Alba)and its active components in intervening neuropathic pain and depression through multi-targets and multi-pathways.the purpose of this study is to provide scientific theoretical basis and practical reference for the treatment of neuropathic pain and depression with traditional Chinese medicine.
赵晓燕;张慧;张璇;王贤东
陕西中医药大学,陕西 咸阳 712046陕西中医药大学附属医院,陕西 咸阳 712000陕西中医药大学,陕西 咸阳 712046陕西中医药大学,陕西 咸阳 712046
医药卫生
神经病理性疼痛抑郁白芍共病
neuropathic paindepressionBaishao(Paeoniae Radix Alba)comorbidity
《辽宁中医药大学学报》 2026 (8)
30-36,7
国家重点研发计划项目(2020YFC2006904)陕西省自然科学基础研究计划项目(2023-JC-QN-0957)咸阳市科技局秦创原中医药产业创新聚集区项目(L2024-QCY-ZYYJJQ-X90,L2024-QCY-ZYYJJQ-Y15,L2024-QCY-ZYYJJQ-Y04)陕西中医药大学研究生教育教学改革创新项目(JGCX001)
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